Putting evidence into context: some advice for guideline writers

Inter-Professional Clinical Practice Guideline for Vocational Evaluation Following Traumatic Brain Injury: A Systematic and Evidence-Based Approach

“…Third, recommendations were cross-referenced to the relevant evidence, with levels of evidence and strength of recommendation explicitly stated to assist users in making implementing decisions [109]. Fourth, clinical or employment issues such as potential costs, risks and benefits, contextual/organizational barriers [112,113] that could affect recommendation implementation were summarized in a section entitled ''Application Considerations''.…”

Nationale Versorgungs-Leitlinien von BÄK, AWMF und KBV: Hintergrund – Ziele – Verfahren

“…Leitlinien sind, wie die internationalen Erfahrungen zeigen [12,13] The program for National Disease Management Guidelines (German DM-CPG program) is a joint initiative of the German Medical Association (umbrella organization of the German Chamber of Physicians), the Association of Scientific Medical Societies (AWMF), and of the National Association of Statutory Health Insurance Physicians (NASHIP). The program aims at developing, implementing and continuous updating of best practice recommendations for nationwide and regional disease management programs in Germany.…”

Efficacy of the use of evidence‐based algorithmic guidelines in the acute care setting for pain assessment and management in older people: a critical review of the literature

“…The strength of each study was critically analysed and thematically mapped against the qualitative criteria of credibility , transferability , plausibility and applicability (Hawker et al., 2002; Cote & Turgeon, 2005; Shapiro & Donaldson, 2008). The approach used in this review assumes that internationally developed EB guidelines can be modified and validated for use within a local health care system using trans‐contextual adaptation and qualitative research as evidence (Chelsa, 2008; Dartnell et al., 2008; Tan et al., 2009).…”

“…For this critical review of the literature, the focus was on those theoretical aspects required for trans‐contextual adaptation of an algorithmic approach to pain assessment and management within an acute care context for older people. Thematic mapping was used with selected studies to assess the strength of the evidence for its suitability as an algorithmic expression of a clinical guideline for use in acute care (Table 4) (Dartnell et al., 2008; Noyes et al., 2008; Stige et al., 2009). From this literature, a new understanding of the determination of the strength of evidence was derived.…”